精神病医生和其他医生接受保险,2007-2016年
Andrew D Carlo1, Anirban Basu1, Jürgen Unützer1
1Meadows Mental Health Policy Institute, Dallas (Carlo); Department of Psychiatry and Behavioral Sciences (Carlo, Jordan) and Center for Health Services and Outcomes Research, Institute for Public Health and Medicine (Jordan), Northwestern University Feinberg School of Medicine, Chicago; Departments of Pharmacy, Health Services, and Economics (Basu) and Department of Psychiatry and Behavioral Sciences (Unützer), University of Washington, Seattle.
精神病医生接受的保险比其他医生少,尤其是公共保险. 个人和城市精神病医生最不可能接受任何保险,需要有针对性的激励措施.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学经济学 医学经济学
- 精神病学实践 精神病学实践
背景情况:
- 保险网络的充分性对于患者获得护理至关重要.
- 了解医生保险接受模式对于医疗保健政策至关重要.
- 由于保险参与差异,精神病治疗的机会可能受到限制.
研究的目的:
- 分析精神病医生与非精神病医生之间的保险接受率.
- 识别与保险接受相关的医生和实践特征.
- 为了比较接受私人,公共和任何保险覆盖的情况.
主要方法:
- 对受限制的国家门诊医疗保健调查数据 (2007-2016) 的分析.
- 精神病医生和其他医生之间的保险接受率的比较.
- 在联邦研究数据中心设施进行的统计分析.
主要成果:
- 非精神病医生接受所有保险类型的费率高于精神病医生.
- 公共保险 (医疗保险/医疗补助) 的保险接受差距比私人保险更大.
- 单独或大都市实践中的精神病医生接受私人,公共或任何保险的可能性明显较低.
结论:
- 需要采取一般政策干预措施,以提高精神病护理保险网络的充分性.
- 建议针对单独和大都市实践中的精神病医生提供有针对性的激励措施,以增加保险参与率.
- 解决这些差异可以改善获得心理健康服务的机会.
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